Finishing Touches to the Restored Foreskin
Written by Alex
Living with an unruly foreskin

The most of the restoring men want a to restore the foreskin to as close as the intact state as possible. Unfortunately, a restored foreskin tends to creep back and expose the glans both too often and at inopportune times. The main reason for that phenomen is based on the fact that a restored foreskin lacks what is referred to as the ridged band or frenar band. In an intact foreskin, this feature does that the end of the foreskin constricts when the penis is in its flaccid state, and expands when the penis becomes erected - much like the fashion of a rubber band.

 But however, there are several ways to help make a restored foreskin behave. The reason I have written this, is to show you, restoring guys, which possibilities that exist today in the way to recreate the function of the ridged band.

Information even at Internet remains scarce about touch up surgeries. I hope, with this, that you can see which options exist and the pros and cons of the metods itself. The illustrations are my own penis, but most of the information is found in chapter 19 in the book «The Joy of Uncircumcising», written by Jim Bingelow (2001).

As you know, I have undergone two different touch up surgery procedyres over the last years; the V-plasty surgery, and the purse string suture method. These methods, and the results I achieved from them, are well explained in my site section of foreskinrestore.com. I will therefore only focus on the other available methods which exist today. I will also discuss pros and cons of surgery itself, and which non-surgical methods one can use to hold the foreskin over the glans

Non-surgical methods of keeping the glans covered

It hasn't gone without notice that some men are willing to take the effort to wear an o-ring or a tape-ring on a permanent basis to keep the glans covered, rather than submit to any surgical touch up to the restored foreskin. I have mentioned below some methods that one can use to keep the glans covered without surgery. Please take into account that neither of these mentioned methods create a permanent taper foreskin. The only way to get a restored foreskin permanently taper, is to undergo a touch up surgery.

Here are the non-surgical methods you can do.

  • Develop a longer foreskin. The advantage of this is obvious. The individual acquires a better functioning foreskin without any of the risks involved with even minor surgical procedures. The disadvantage of this is that expanding  the additional needed lenght of the foreskin may add months, or even years, to an already lenghty process. Further, it seems obvious that there are individual differences in how amenable any given person's skin is to indefinite expansion. At some point, the individual need to set realistic goals for himself, in the terms of the cost in time, effort and frustration, should he determine to develop a long enough foreskin to assure reliable coverage of the glans.
  • Retainer ring. An o-ring is remarkable usefull in keeping the glans covered by the foreskin. The advantage is that these rings are very cheap and exist in many sizes. An o-ring is also quick to attatch and remove when needed. The disadvantage is that the ring is conspicuous while nude in public areas.
Tape ring. Much similar to the o-ring. With a small strip of inconspicuous skin colored tape, the tape ring can be weared when using public facilities without the tape-ring being embarassingly visible. The disadvantage is that the tape can irritate the skin, and that it is more effort to attach and remove the ring.
  • Thighter fitting underwear. Many restoring men find that they can pull the new foreskin in place over the glans and then hold both the foreskin and penis in place by wearing the thighter styles of underwear. The advantage of this is that it gives a fairly reliable coverage. The disadvantage is that retaining the foreskin over the glans by this method is neither certain nor foolproof. Further does this nothing to keep the new foreskin in place while nude in public places.
Surgical touch up methods

To remove excess foreskin in a sense that makes the end of the restored foreskin thighter, is one of the main techniques to permanently get a thighter foreskin. Another method, the purse string method, does actually not involve any actually surgery, but an insertion of a circular thread in the end of the foreskin.  I have already in detail discussed my experience with this particular method at foreskinrestore.com. I will therefore not mention anything about this methods here.


Tissue removal techniques

In «The Joy of Uncircumcision», written by Jim Bingelow (2001), it is mentioned several tissue removal techniques. As an illustration to every particular method, I have simply used a foto of my own penis to illustrate the methods.

  • Single section reduction. This simple removal of a diamond-shaped section of skin is suggested for the individual whose new foreskin is not too long, but will cover most, if not all, of his glans. Further, this pattern is best suited for the individual who needs a relatively little reduction in the orifice of the foreskin
  • Elongated single section reduction. This pattern is suited for the individual who has a longer foreskin and whishes it to taper out past the glans
  • Multiple section reduction. There are doctors who suggest the removal of multiple, smaller diamond-shaped sections to achieve orifice reduction. Some have suggested two reductions at the 4 and 8 o'cl positions at the foreskin, or at 6 and 12 o'cl positions. One doctor Jim Bingelow spoke with, suggested three reductions at 4, 8 and 12 o'cl positions. In each case, the intend is to make multiple smaller reductions which will result in the finished orifice having a more natural line. In another case, like the fotos below illustrate, one doctor modified the design of the incision to resemble a narrow, elongated leaf symetrically tapered at both ends. He made two such incisions at 4 and 8 o'cl positions
  • V-plasty. I have taken this particular metod, and it's well documented in my pages.
The advantage of the tissue-removal procedures is that the reducing orifice is relatively flat, smooth and circular. The major disadvantage is that these procedures involve an actual removal of tissue. This factor, of necessity, requires that a judgement be made as to how much tissue to remove and how effective the final orifice will be in terms of retaining the foreskin over the glans. These are formidable judgement calls to be made while performing a rather delicate surgical procedure. It is important for me to mention that it's always better to have too much skin rather than too little. There are men who have taken touch up surgeries before their foreskins were long enough in the hope of shortening the restoration time, but ended up with still having problems to permanently have their glans covered as intended.

Transverse incisions

This method involves making a number of short incisions around the orifice of the foreskin, and then suturing each incision in the opposite direction. Theoretically, a first set of incisions could be made, and after healing, the results eavulated. Later, if the first procedure has not resulted in a sufficiently reduced orifice, a second set of incisions could be made.

The advantage of the transverse incision method is that it does not involve any actual tissue removal. It is also a lesser risk of «going too far» with this method, compared to the tissue removal techniques.

The disadvantage of the transverse incision method is that the reduced orifice has a somewhat scalloped appearance and does not lay flat or circular in the neater fashion of the tissue removal techniques.

Pros and cons of surgery itself
To take a touch up surgery is a very personal decision. Each individual must take into account the desired results, the cost, the pain and the risk associated with such a procedure. Furthermore, one of the biggest deterrents at the present time is the lack of doctors who will actually perform these surgeries. Many doctors who performed such procedures previously, are either retired or not currently work at the field.

In USA, I know one particular doctor named Harold Reed in Miami, who still works on the field. He performs both finishing touch up surgeries at an already restored foreskin, and also he performs a complete surgical foreskin reconstruction. His prices are prohibitive compared to many other clinics.

In Norway, and perhaps in other countires in Europe as well, currently the prices to get a tuch up surgery performed, tend to be much lower for such surgeries compared to USA. Since the US$ has been much stronger against the Norwegian krone (NOK), it is far more cheaper to take plastic surgeries here nowadays, compared to USA. The doctor who performed the touch up surgeries on me, has a fee of only US$ 350 for the purse string suture and  US$ 700 for tissue removal techniques. I am sorry to say that he is not working on this field anymore.

So it seems that the lack of doctors who are willing to perfom touch up surgeries can might be the main obstacle of finishing the restoration process by undergoing such surgery. Many doctors are neither trained nor skilled to perform such surgeries, based on the fact that it is relative unlikely to perform such surgeries and that many doctors simply are totally unaware of foreskin restoration at all.

If one asks me if I recommend to take touch up surgeries to finish the restoration process, and to get the most realistic results, I can only say, based on my experiences that I have achieved very promising results of the procedures results I never would have achieved without taking such procedures.  

Another important advantage of taking a touch up surgery is not only that you will end up with a foreskin which is closer to an intact one, but you'll also could have get the glans covered permanently, at least in the flaccid state, much faster than having to grow a much longer foreskin to achieve the same.

Since many restoring men dream about having even erected coverage, a touch up procedure can eventually makes this possible!

Bellow is some great information from Alex, He has shared his touch up surgeries and restoring information on his section of this website and I am thrilled to add more of his insight on this subject.